Provider Demographics
NPI:1073588455
Name:HATCHER, AMY SULLIVAN (NP)
Entity Type:Individual
Prefix:MRS
First Name:AMY
Middle Name:SULLIVAN
Last Name:HATCHER
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:4012 OXFORD GLEN DR
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37067
Mailing Address - Country:US
Mailing Address - Phone:615-417-9777
Mailing Address - Fax:615-217-1513
Practice Address - Street 1:1019 N HIGHLAND AVE
Practice Address - Street 2:
Practice Address - City:MURFREESBORO
Practice Address - State:TN
Practice Address - Zip Code:37130
Practice Address - Country:US
Practice Address - Phone:615-217-7765
Practice Address - Fax:615-217-1513
Is Sole Proprietor?:No
Enumeration Date:2006-02-21
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNRN136012363L00000X
TNAPN8328363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNMH1057719OtherDEA
TNMH1057719OtherDEA
P74289Medicare UPIN